Co-distribution and co-infection of chikungunya and dengue viruses

Furuya-Kanamori, Luis, Liang, Shaohong, Milinovich, Gabriel, Soares Magalhaes, Ricardo J., Clements, Archie C. A., Hu, Wenbiao, Brasil, Patricia, Frentiu, Francesca D., Dunning, Rebecca and Yakob, Laith (2016) Co-distribution and co-infection of chikungunya and dengue viruses. BMC Infectious Diseases, 16 1: . doi:10.1186/s12879-016-1417-2

Author Furuya-Kanamori, Luis
Liang, Shaohong
Milinovich, Gabriel
Soares Magalhaes, Ricardo J.
Clements, Archie C. A.
Hu, Wenbiao
Brasil, Patricia
Frentiu, Francesca D.
Dunning, Rebecca
Yakob, Laith
Title Co-distribution and co-infection of chikungunya and dengue viruses
Journal name BMC Infectious Diseases   Check publisher's open access policy
ISSN 1471-2334
Publication date 2016-03-03
Sub-type Article (original research)
DOI 10.1186/s12879-016-1417-2
Open Access Status DOI
Volume 16
Issue 1
Total pages 11
Place of publication London, United Kingdom
Publisher BioMed Central
Language eng
Formatted abstract
Chikungunya and dengue infections are spatio-temporally related. The current review aims to determine the geographic limits of chikungunya, dengue and the principal mosquito vectors for both viruses and to synthesise current epidemiological understanding of their co-distribution.

Three biomedical databases (PubMed, Scopus and Web of Science) were searched from their inception until May 2015 for studies that reported concurrent detection of chikungunya and dengue viruses in the same patient. Additionally, data from WHO, CDC and Healthmap alerts were extracted to create up-to-date global distribution maps for both dengue and chikungunya.

Evidence for chikungunya-dengue co-infection has been found in Angola, Gabon, India, Madagascar, Malaysia, Myanmar, Nigeria, Saint Martin, Singapore, Sri Lanka, Tanzania, Thailand and Yemen; these constitute only 13 out of the 98 countries/territories where both chikungunya and dengue epidemic/endemic transmission have been reported.


Understanding the true extent of chikungunya-dengue co-infection is hampered by current diagnosis largely based on their similar symptoms. Heightened awareness of chikungunya among the public and public health practitioners in the advent of the ongoing outbreak in the Americas can be expected to improve diagnostic rigour. Maps generated from the newly compiled lists of the geographic distribution of both pathogens and vectors represent the current geographical limits of chikungunya and dengue, as well as the countries/territories at risk of future incursion by both viruses. These describe regions of co-endemicity in which lab-based diagnosis of suspected cases is of higher priority.
Keyword Chikungunya
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ
Additional Notes Article number 84

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Veterinary Science Publications
Child Health Research Centre Publications
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Citation counts: TR Web of Science Citation Count  Cited 15 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 21 times in Scopus Article | Citations
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